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Mild head injuries: Impact of a national strategy for implementation of management guidelines

Muller, K; Waterloo, K; Romner, Bertil LU ; Wester, K and Ingebrigtsen, T (2003) In Journal of Trauma 55(6). p.1029-1034
Abstract
Background. A national survey in 1996 showed insufficient routines for management of patients with mild head injuries in Norwegian hospitals. Since then, the Scandinavian Guidelines for Management of Mild Head Injuries have been published. Methods. A cross-sectional questionnaire survey of management practice was performed in all 59 hospitals in 2002. We compared the results with figures from 1996 and evaluated guideline compliance. Results. The proportion of noncompliant hospitals was reduced (p = 0.02) from 52% to 31%. The proportion assessing the patient's level of consciousness according to the Glasgow Coma Scale increased (p = 0.001) from 49% to 80%. The proportion requiring a normal computed tomographic scan if a patient with a... (More)
Background. A national survey in 1996 showed insufficient routines for management of patients with mild head injuries in Norwegian hospitals. Since then, the Scandinavian Guidelines for Management of Mild Head Injuries have been published. Methods. A cross-sectional questionnaire survey of management practice was performed in all 59 hospitals in 2002. We compared the results with figures from 1996 and evaluated guideline compliance. Results. The proportion of noncompliant hospitals was reduced (p = 0.02) from 52% to 31%. The proportion assessing the patient's level of consciousness according to the Glasgow Coma Scale increased (p = 0.001) from 49% to 80%. The proportion requiring a normal computed tomographic scan if a patient with a history of loss of consciousness was to be sent home from the accident and emergency department increased (p < 0.001) from 1 (2%) to 13 (19%). Conclusion. The Scandinavian Guidelines for Management of Mild Head Injuries have had a significant impact on management practice in Norwegian hospitals. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
implementation, guidelines, head injury, management, guideline, compliance
in
Journal of Trauma
volume
55
issue
6
pages
1029 - 1034
publisher
Lippincott Williams and Wilkins
external identifiers
  • pmid:14676646
  • wos:000187666200005
  • scopus:0347361310
ISSN
0022-5282
DOI
10.1097/01.TA.0000100371.49160.2A
language
English
LU publication?
yes
id
d6d95aa2-9422-47fc-959d-4d5ed4318573 (old id 290980)
date added to LUP
2007-09-18 14:14:24
date last changed
2018-05-29 12:14:22
@article{d6d95aa2-9422-47fc-959d-4d5ed4318573,
  abstract     = {Background. A national survey in 1996 showed insufficient routines for management of patients with mild head injuries in Norwegian hospitals. Since then, the Scandinavian Guidelines for Management of Mild Head Injuries have been published. Methods. A cross-sectional questionnaire survey of management practice was performed in all 59 hospitals in 2002. We compared the results with figures from 1996 and evaluated guideline compliance. Results. The proportion of noncompliant hospitals was reduced (p = 0.02) from 52% to 31%. The proportion assessing the patient's level of consciousness according to the Glasgow Coma Scale increased (p = 0.001) from 49% to 80%. The proportion requiring a normal computed tomographic scan if a patient with a history of loss of consciousness was to be sent home from the accident and emergency department increased (p &lt; 0.001) from 1 (2%) to 13 (19%). Conclusion. The Scandinavian Guidelines for Management of Mild Head Injuries have had a significant impact on management practice in Norwegian hospitals.},
  author       = {Muller, K and Waterloo, K and Romner, Bertil and Wester, K and Ingebrigtsen, T},
  issn         = {0022-5282},
  keyword      = {implementation,guidelines,head injury,management,guideline,compliance},
  language     = {eng},
  number       = {6},
  pages        = {1029--1034},
  publisher    = {Lippincott Williams and Wilkins},
  series       = {Journal of Trauma},
  title        = {Mild head injuries: Impact of a national strategy for implementation of management guidelines},
  url          = {http://dx.doi.org/10.1097/01.TA.0000100371.49160.2A},
  volume       = {55},
  year         = {2003},
}